Organization Active NPI

Professional Health Management LLC

  • Community Health Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1245135367
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
PROFESSIONAL HEALTH MANAGEMENT LLC
Practice address
2775 Rottingdean Dr Apt E
Saint Louis, MO 63136-4668
Phone
(314) 449-9420
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deja Scott
Title
Owner
Phone
(314) 723-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

2775 Rottingdean Dr Apt E
Saint Louis, MO 63136-4668

Mailing address

2775 Rottingdean Dr Apt E
Saint Louis, MO 63136-4668
Phone (314) 449-9420

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1245135367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 ROTTINGDEAN DR APT E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364668",
            "telephone_number": "314-449-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 ROTTINGDEAN DR APT E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364668",
            "telephone_number": "314-449-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DEJA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-723-0127"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.